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Answers to the European Commission on the ... - Eiopa - Europa

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• existence of significant insufficiencies in <str<strong>on</strong>g>the</str<strong>on</strong>g> provisi<strong>on</strong>s<br />

established for previous years;<br />

• management claims costs;<br />

• impact of possible agreements in existence between <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

insurance undertaking and o<str<strong>on</strong>g>the</str<strong>on</strong>g>r insurance undertakings or<br />

service providers.<br />

A.49 The actuary should explicitly state which analysis he carried out and<br />

which models he used in order <str<strong>on</strong>g>to</str<strong>on</strong>g> verify <str<strong>on</strong>g>the</str<strong>on</strong>g> sufficiency of <str<strong>on</strong>g>the</str<strong>on</strong>g> incurred<br />

but not reported claims.<br />

A.50 When <str<strong>on</strong>g>the</str<strong>on</strong>g> studies carried out by <str<strong>on</strong>g>the</str<strong>on</strong>g> actuary c<strong>on</strong>template any case-bycase<br />

based investigati<strong>on</strong>, <str<strong>on</strong>g>the</str<strong>on</strong>g> sampling criteria c<strong>on</strong>sidered should be<br />

specified.<br />

A.51 When <str<strong>on</strong>g>the</str<strong>on</strong>g> analysis undertaken by <str<strong>on</strong>g>the</str<strong>on</strong>g> actuary includes verificati<strong>on</strong> of<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> calculati<strong>on</strong> algorithms used by <str<strong>on</strong>g>the</str<strong>on</strong>g> computing system of <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

insurance undertaking, this fact should be stated and indicati<strong>on</strong> should<br />

be made of <str<strong>on</strong>g>the</str<strong>on</strong>g> procedures used in this verificati<strong>on</strong>.<br />

A.52 When, for <str<strong>on</strong>g>the</str<strong>on</strong>g> purposes of <str<strong>on</strong>g>the</str<strong>on</strong>g> verificati<strong>on</strong> specified in <str<strong>on</strong>g>the</str<strong>on</strong>g> previous<br />

paragraph, <str<strong>on</strong>g>the</str<strong>on</strong>g> actuary takes in<str<strong>on</strong>g>to</str<strong>on</strong>g> c<strong>on</strong>siderati<strong>on</strong> work already<br />

undertaken by <str<strong>on</strong>g>the</str<strong>on</strong>g> external audi<str<strong>on</strong>g>to</str<strong>on</strong>g>r of <str<strong>on</strong>g>the</str<strong>on</strong>g> insurance undertaking this<br />

fact should be indicated.<br />

A.53 Whenever <str<strong>on</strong>g>the</str<strong>on</strong>g> actuary has c<strong>on</strong>sidered hypo<str<strong>on</strong>g>the</str<strong>on</strong>g>ses and/or models that<br />

differ from those used in <str<strong>on</strong>g>the</str<strong>on</strong>g> analysis that served as <str<strong>on</strong>g>the</str<strong>on</strong>g> basis for <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

report drawn up for <str<strong>on</strong>g>the</str<strong>on</strong>g> previous financial year, he should state this<br />

fact, justifying <str<strong>on</strong>g>the</str<strong>on</strong>g> changes made and describing, whenever this is<br />

c<strong>on</strong>sidered <str<strong>on</strong>g>to</str<strong>on</strong>g> be materially relevant, <str<strong>on</strong>g>the</str<strong>on</strong>g> impact of <str<strong>on</strong>g>the</str<strong>on</strong>g> results arising<br />

from such alterati<strong>on</strong>s.<br />

A.54 The actuary should also present a comparis<strong>on</strong> of <str<strong>on</strong>g>the</str<strong>on</strong>g> estimates<br />

obtained for <str<strong>on</strong>g>the</str<strong>on</strong>g> technical provisi<strong>on</strong>s with <str<strong>on</strong>g>the</str<strong>on</strong>g> corresp<strong>on</strong>ding estimates<br />

present in <str<strong>on</strong>g>the</str<strong>on</strong>g> report <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> previous financial year, presenting<br />

explanati<strong>on</strong>s for any significant differences found.<br />

A.55 The appointed actuary should also present <str<strong>on</strong>g>the</str<strong>on</strong>g> sensitivity analyses<br />

carried out in order <str<strong>on</strong>g>to</str<strong>on</strong>g> assess <str<strong>on</strong>g>the</str<strong>on</strong>g> degree of uncertainty of <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

estimates obtained for technical provisi<strong>on</strong>s. In this c<strong>on</strong>text, <str<strong>on</strong>g>the</str<strong>on</strong>g> actuary<br />

should take in<str<strong>on</strong>g>to</str<strong>on</strong>g> c<strong>on</strong>siderati<strong>on</strong> different hypo<str<strong>on</strong>g>the</str<strong>on</strong>g>ses and/or classes of<br />

evaluati<strong>on</strong> models, c<strong>on</strong>templating different future scenarios.<br />

A.56 When <str<strong>on</strong>g>the</str<strong>on</strong>g>re is a significant difference in <str<strong>on</strong>g>the</str<strong>on</strong>g> results obtained by means<br />

of c<strong>on</strong>siderati<strong>on</strong> of different hypo<str<strong>on</strong>g>the</str<strong>on</strong>g>ses and/or models, <str<strong>on</strong>g>the</str<strong>on</strong>g> actuary<br />

should make a comment <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g>se differences, and also justify <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

estimate that is c<strong>on</strong>sidered most appropriate.<br />

A.57 The actuary should make a comment <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> suitability of <str<strong>on</strong>g>the</str<strong>on</strong>g> mortality<br />

tables used in order <str<strong>on</strong>g>to</str<strong>on</strong>g> determine <str<strong>on</strong>g>the</str<strong>on</strong>g> ma<str<strong>on</strong>g>the</str<strong>on</strong>g>matical provisi<strong>on</strong> of life<br />

assurance policies, in particular insurance policies offering lifel<strong>on</strong>g<br />

income and pensi<strong>on</strong>s resulting from occupati<strong>on</strong>al accidents, and should<br />

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